CLIA lab
CLIA 39D2206967: Suburban Bustleton Pharmacy DBA Suburbans Pharmacy
Phila, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2206967 belongs to Suburban Bustleton Pharmacy DBA Suburbans Pharmacy in Phila, PA.
Certificate of Waiver, effective December 23, 2024, expires December 22, 2026.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 23, 2024
- Certificate expiration
- December 22, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 23, 2020
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 39D2206967
- Lab name
- Suburban Bustleton Pharmacy DBA Suburbans Pharmacy
- Address
- 10875 Bustleton Ave, Phila, PA 19116
- Phone
- (215) 673-0994
- Fax
- (215) 969-6176
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Suburban Bustleton Pharmacy DBA Suburbans Pharmacy in Phila?
39D2206967, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Suburban Bustleton Pharmacy DBA Suburbans Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2206967 expire?
The CMS file lists December 22, 2026 as the certificate expiration date; the certificate took effect December 23, 2024.